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Elder Abuse (elder + abuse)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

Free Papers Preventing Elder Abuse

AUSTRALASIAN JOURNAL ON AGEING, Issue 2000
Taking on issues of financial abuse against older people
No abstract is available for this article. [source]

Elder Abuse: Keeping the Unthinkable in the Differential

ACADEMIC EMERGENCY MEDICINE, Issue 6 2007
Ryan D. Heyborne MD
No abstract is available for this article. [source]

Preventive medicine beyond 65

GERIATRICS & GERONTOLOGY INTERNATIONAL, Issue 2 2006
Lionel S. Lim
Preventive health care in adults aged 65 and older is essential to ensure that quality of life is maintained with longevity. The first half of this article will focus on the two major causes of mortality in the US adult population: cancer and cardiovascular disease. We will address current screening and chemoprevention issues pertaining to breast, cervical, colorectal, prostate and skin cancer. For cardiovascular disease prevention, we will discuss the importance of screening for and treating hypertension, hyperlipidemia, diabetes mellitus, and the use of aspirin chemoprophylaxis and angiotensin-converting enzyme inhibition. In the latter half, we will discuss other aspects of preventive health care including fall prevention, motor vehicle safety, immunizations and screening issues. Health screening can help detect conditions like osteoporosis, subclinical thyroid disease, hearing impairment, nutritional status, and oral and dental problems. Finally, we will also address psychosocial health issues that affect older people including dementia, depression, elder abuse, lifestyle habits and advanced directives. Our recommendations are based on the latest available evidence and include the US Preventive Services Task Force and other leading health professional organizations. [source]

Medical students' recognition of elder abuse

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 7 2009
Jonas Thompson-McCormick
Abstract Objectives To determine the proportion of fourth-year medical students who correctly recognise abusive and not abusive care of older people and whether recognition is related to sociodemographic factors and education. Design A cross-sectional self-report questionnaire study, using the Caregiving Scenario Questionnaire; measuring recognition of elder abuse according to the Department of Health's definition. Participants Fourth-year medical students at University College London and the University of Birmingham, UK. Results Two hundred and two of 207 students (97.6%) responded. Twenty-nine of 201 (14.4%) identified accepting someone was not clean; 113/200 (56.5%) locking someone in alone; and 160/200 (80.0%) trapping someone in an armchair as abusive. All medical students correctly identified four out of five not abusive responses. Twelve (6.0%) incorrectly identified camouflaging the door to prevent wandering as abusive. Logistic regression analysis found the independent predictors of recognising that locking in alone was abusive were working as a professional carer (OR,=,3.33, 95% CI,=,1.25,8.89, p,<,0.05) and reporting being taught to look for elder abuse (OR,=,0.46, 95% CI,=,0.24,0.89, p,<,0.05). Similarly, the independent predictors of recognising that restraint in an armchair was abusive were attending university A versus university B (OR,=,2.38, 95% CI,=,1.09,5.26, p,<,0.05); being of White British versus Asian ethnicity (OR,=,4.00, 95% CI,=,1.75,9.09, p,<,0.01). Conclusions Medical students are good at recognising not abusive care, but not as successful at recognising elder abuse. Working as a professional carer was associated with better recognition of abuse, while personal contact with a person with dementia and recalling formal education about abuse were not. Copyright © 2009 John Wiley & Sons, Ltd. [source]

Current legal responses to elder abuse

INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 4 2006
LL.B HONS, Paul Buka MSC
Abstract., In this paper, legal provisions for dealing with elder abuse in social or healthcare settings will be considered. The need for such measures for detection and management of elder abuse will be highlighted. Interventions should take into account elderly victims' vulnerability, which may be due to physical and/or psychological dependence. The effectiveness of current interventions is limited due to a lack of cohesion and the absence of a specific legal framework. The term ,vulnerable adults' is broader than ,elder abuse'. It is difficult to estimate the extent of the problem of elder abuse because of the usually intimate settings within which it takes place , this may affect the strength of the evidence. The purpose of this paper is to encourage a debate on the effectiveness of current legal responses to elder abuse. The true figures of the incidence of abuse may never be known. Consequently, in criminal law trials, providing evidence on abuse can be very traumatic and intimidating for a victim because of the circumstances in which it generally takes place. The irony is that the likelihood of a criminal prosecution may be higher in more serious types of abuse where the evidence is overwhelming, on the basis of the res ipsa loquitor (facts speak for themselves) principle. The abuse in question may be domestic or institutional; the effects nevertheless are the same. [source]

Elder Self-Neglect and the Justice System: An Essay from an Interdisciplinary Perspective

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 2008
Marie-Therese Connolly JD
Elder self-neglect is a complex issue for the legal system,one not always easily distinguished from other types of elder abuse, neglect, and exploitation. The issue inherently implicates several disciplines, and although self-neglect is not prosecuted per se, prosecutions of other types of elder abuse, neglect, and exploitation may affect self-neglect as well. In addition, other types of legal intervention, such as guardianship actions, may serve to protect vulnerable older people, but it is critical to ensure that such interventions do not inappropriately infringe on the older person's civil liberties or result in exploitation or worse. There are daunting challenges to doing work in this field,death; ageism; medical, legal, and ethical complexities; and a chronic paucity of funding. It is nevertheless imperative that researchers expand their efforts to elucidate the nature and scope of elder self-neglect; its interplay with other forms of abuse, neglect, and exploitation; and the most effective mechanisms for intervention and prevention. Such efforts, and in particular interdisciplinary approaches to these common problems, are critical to improving care for the nation's older people and assisting millions of families and practitioners. [source]

Use of Simulation Technology in Forensic Medical Education

ACADEMIC EMERGENCY MEDICINE, Issue 2009
Heather Rozzi
Although the emergency department often provides the first and only opportunity to collect forensic evidence, very few emergency medicine residencies have a forensic medicine curriculum in place. Most of the existing curricula are composed only of traditional didactics. However, as with any lecture-based education, there may be a significant delay between the didactic session and clinical application. In addition, traditional curricula lack the opportunity for residents to practice skills including evidence collection, documentation, and use of a colposcope. At York Hospital, we have developed a forensic curriculum which consists of both traditional lectures and practical experience in our Medical Simulation Center. As part of their educational conference series, residents receive presentations on domestic violence, child abuse, elder abuse, evidence collection, sexual assault, ballistics, pattern injuries, documentation, forensic photography, and court testimony. Following these presentations, residents have the opportunity to apply their knowledge of forensic medicine in the Simulation Center. First, they interview a standardized patient. They then utilize the mannequins in the Simulation Center to practice evidence collection, photo documentation, and use of our specialized forensic medicine charts. After evidence collection and documentation, the residents provide safety planning for the standardized patients. Each portion is videotaped, and each resident is debriefed by victim advocates, experienced sexual assault nurse examiners, and emergency department faculty. The use of simulation technology in resident education provides the opportunity to practice the skills of forensic medicine, ultimately benefiting patients, residents, and law enforcement, and permitting teaching and evaluation in all six core competency areas. [source]

Addressing elder abuse: Western Australian case study

AUSTRALASIAN JOURNAL ON AGEING, Issue 1 2005
Duncan Boldy
Objective:,To explore the extent of elder abuse in Western Australia and associated aspects, such as the relationship of the abuser to the victim, risk factors and desirable interventions, and current knowledge and use of relevant protocols. Methods:,A mail-out questionnaire was sent to over 1000 organisations and 129 general practitioners (GPs). Recipients were asked to identify any known or suspected cases of elder abuse encountered during the previous 6 months. Results:,The estimated prevalence of elder abuse was 0.58% (in individuals 60+ years). Females and those 75 years and older were more at risk than males or those younger. Financial abuse was the most common, and frequently more than one type of abuse was suffered by the same person. The main abusers were adult children or other relatives. Conclusion:,The importance of education targeted at professionals, the general public and older people themselves was evident. Important direct interventions identified included respite care, advocacy and counselling. [source]